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To make a referral to Veritas House’s Clinical and Consultation Services (CCS) team, please complete the following referral form. Please ensure that consent to send this referral is gained from the client and/or parent, guardian or carer prior to submitting. If we require further information, one of our staff will contact you within 3 working days.

Please note, submission of this form does not constitute an acceptance of the referral by CCS.